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Another means of cutting health care costs is tort reform Patients can be awarded large settlements for personal injuries due to medical malpractice under current tort laws The high costs of medical malpractice insurance and compensation awards are passed on to health care consumers One suggestion is to cap the awards of damages The bottom line is that the supply-demand equation of medical care providers in the United States is simply off-kilter However, with some modest public policy shifts, price pressure might subside, which will hopefully boost not only our nation s economic competitiveness, but our health as well
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Over the long haul of life on this planet, it is the ecologists, and not the bookkeepers of business, who are the ultimate accountants Stewart Udall
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hether or not you want to believe the inconvenient truth about global warming, environmental stewardship in the Macro Quantum world has become increasingly relevant to everyone from the subsistence farmer in Malawi to the hybrid car driver in Seattle By 2008, even erstwhile George W Bush had changed his tune, announcing that his administration was working toward a climate agreement that includes the meaningful participation of every major economy and gives none a free ride 1 Unfortunately, the public discourse on the environment has focused almost exclusively on climate change to the detriment of other more pressing yet manageable environmental policy challenges, including water management and the establishment of balanced energy, agricultural,
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forestry, and shing guidelines This is not to say that we should forget global warming, but more to say that there are many other pressing, immediate ecological questions raised by the rapid industrialization and globalization of the past decades that deserve serious attention The past 50 years have brought profound changes in human global production and consumption pro les Increased economic activity and population growth, coupled with greater prosperity and heightened demands for commodities and energy, are degrading ecosystems and creating shortages of potable water, clean air, healthy food, and fertile soil And, unlike the effects of global warming, the negative effects of shortages are happening in the present and require our full attention today When the UN s Brundtland Commission rst coined the term sustainable development in 1983, it identi ed poverty as one of the most important causes of environmental degradation It argued that greater economic growth, fueled in part by increased international trade, could generate the necessary resources to combat what had become known as the pollution of poverty : poor water quality, inadequate housing and sanitation, malnutrition, and disease2 While deprivation remains a problem in many pockets of our planet, burgeoning prosperity and growing consumption provide their own set of environmental trials The average rates at which people consume oil and metals and produce waste like plastics and greenhouse gases, are 32 times higher in North America, Western Europe, Japan, and Australia than they are in the developing world3 Developing countries and the rich world alike are eating more (see Table 71) and using more energy (Table 72) than ever before And that s not all we are using more of: According to the Millennium Ecosystem Assessment, water withdrawals from rivers and lakes have doubled since 19604 Increased agricultural use of chemical fertilizers has caused nitrogen emissions also to double since 1960, while phosphorous emissions tripled in the same period Countless acres of forest have been cleared to feed growing appetites, while fuelwood used for energy has become scarce in many parts of the world In turn, the ecosystems on which we have come to depend have sustained irreparable damage: 20 percent of the earth s coral reefs have been lost, and an additional 20 percent have sustained damage5 Approximately 35 percent of mangroves (the plants that form the basis of many subtropical intertidal ecosystems) have disappeared in the last two decades6
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